Remote Urology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves medical review of service requests and requires a DO, MBBS, or MD degree along with at least 5 years of clinical experience. Candidates must ensure compliance with medical review guidelines and interact with healthcare professionals effectively. Prime Therapeutics offers competitive compensation with potential pay ranging from $90.87 to $154.33 based on experience. #J-18808-Ljbffr
$90.87 - $154.33 per hour
A leading pharmacy benefits manager is seeking a remote Physician Clinical Reviewer for Urology. The ideal candidate will be a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include reviewing medical requests, communicating with physicians...Remote work$90.87 - $154.33 per hour
A nationwide pharmacy benefit management company based in Washington, DC is seeking a Physician Clinical Reviewer for a remote role focused on Urology. The ideal candidate should hold an MD, DO, or MBBS and have over 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer specializing in Urology for a remote position. This role entails providing timely medical reviews and interacting with healthcare professionals. Candidates must hold a DO, MBBS, or MD degree and have at...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for a remote role in Little Rock, Arkansas. The successful candidate will be pivotal in the utilization management team, conducting medical reviews of service requests and collaborating with physicians...Remote work- A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer in Urology to join their remote utilization management team. In this critical role, you will review medical necessity requests, interact with physicians, and provide insights for appeals. Candidates...Remote work
- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team remotely. The ideal candidate will have a DO, MBBS, or MD degree and over 5 years of clinical experience. Responsibilities include...Remote work
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology to join their utilization management team. The role involves medical... ...or MD and at least 5 years of clinical experience. This remote position offers a competitive salary range from $90.87...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join their utilization management team. This remote position requires a medical degree (MD, DO, MBBS) and at least 5 years of clinical experience. Responsibilities include reviewing medical...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for medical necessity, ensuring timely communication with healthcare providers, and maintaining accurate documentation...Remote job$90.87 - $154.33 per hour
...serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Urology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service...Remote workWork at officeLocal areaVisa sponsorshipWork visa$90.87 - $154.33 per hour
...Prime Therapeutics (Prime) is a purpose‑driven PBM seeking a Physician Clinical Reviewer – Urology (remote). This key member of the utilization management team provides timely medical review of service requests that do not initially meet medical necessity guidelines. The...Remote workHourly payWork at officeLocal areaVisa sponsorshipWork visa$28.37 - $39.19 per hour
A healthcare technology firm is seeking a Clinical Reviewer for Substance Use on a PRN basis. The role involves reviewing patient records against... ...at least 3 years of clinical experience. The position is remote and offers a pay range of $28.37 to $39.19 per hour, along...Remote workHourly payRelief- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
- A healthcare consulting firm is seeking a Gastroenterologist to conduct quality reviews for the U.S. Dept. of Veterans Affairs. This remote role involves assessing clinical standards of care, preparing detailed reports, and ensuring compliance with regulations. Candidates...Remote work
- ...passionate about using your clinical expertise to support quality... ...services? Do you enjoy critically reviewing clinical documentation,... ...are recruiting for 2 full-time remote/hybrid Clinical Reviewer positions... ...services. Consult with physician/practitioner consultants when...Remote workFull timeWork from homeMonday to Friday
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
- ...Clinical Data QA Reviewer We're looking for detail-oriented clinical professionals to review and annotate electronic health record (EHR) data... ...research applications — work that matters. This is a fully remote, flexible contract role localized to the Chicago market. If...Remote workOngoing contractContract workFreelanceFlexible hours
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...~ ~3+ years in home-health QA/OASIS review, utilization review, or clinical documentation... ...in a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend work$81.22k - $121.83k
...(UM) Clinician is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory... ...opportunities to improve service, reduce administrative cost, ensure clinically appropriate delivery of benefit covered services, and support...Remote workContract workWork at officeWork from home- ...All Jobs Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed Healthcare Professional) • Fully Remote • United States Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
- ...Clinical Documentation Reviewer This is a remote position. Position Overview We are seeking a Clinical Documentation Reviewer to support TUWYN's contract... ...involves participating in daily huddles with VA physicians and interdisciplinary teams, prioritizing reviews for...Remote workContract workPart timeFor contractorsMonday to Friday
$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office- ...Clinical Reviewer - Pasrr Under the general supervision of the Associate Director, or designee, the Clinical Reviewer - PASRR is responsible... ...position does not include supervisory responsibilities. Remote position which requires working at computer for all tasks....Remote workWork experience placementWeekend work
- ...We are seeking a qualified SUD MD Reviewer to conduct a retrospective utilization... ...historically denied cases to determine if standard clinical criteria were appropriately applied.... ...Requirements Work is 100% remote and offers flexible hours. Benefits...Remote workTemporary workLocal areaFlexible hours
$55 - $75 per hour
...Per Diem, Non-Exempt (Hourly) Location: Sacramento, CA (Remote/Hybrid) Compensation : $55-$75 per hour, depending on experience... ...Under the direction of the Associate Director, the Licensed Clinical Reviewer supports clinical documentation review and quality assurance...Remote workHourly payDaily paid10 hours per week$115.44k - $173.16k
...and/or specialty section regarding peer review, specialty specific studies and performance... ...activities. Collaborates with physicians in determining peer review indicators, what... ...responsibilities. Ability to multi-task. Job Title: Clinical Peer Reviewer Department:...Remote workFull timeWork at officeShift work$28.37 - $35 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following... ...Required Work Experience ~2 years of experience in clinical field of practice, health insurance, or other health care related...Remote workFull timeContract workWork experience placementWork at office1 day per week
$73.2k - $122k
...following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for... ...coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols...Remote workLocal areaWork from homeFlexible hours$40 - $45 per hour
...Pay Range: $40 - $45 per hour based on experience Work Hours : 20 hours per week (Mon - Fri) Location : Remote Summary : The Clinical Reviewer is responsible for conducting clinical reviews of submitted prior authorization (PA) requests and pre-payment...Remote workHourly payPart timeFor contractorsWork at officeLocal area
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